Loading...
HomeMy WebLinkAboutPermit Mechanical 2009-8-4 City of Springfield ~j!".~"P"1T..~:.'.--" ',' Itic" ' '-....'.' " .,' ", , , " , ... . ~ 5' , i, , .,,, " ,_ ,_"",'"^H' .._' _,~~",-,c .:.< Mechanical Authorization To Begin Work E-mailed To: kelly@comfortnow.coin 69600-BMC-09-00053 8/3/2009 3:25 pm Approval Code: 004080 Check on status of permit By Phone: 54]-726-3753 or Email: pcrmilccntcr@ci.springlield.or.us I:,. '-'<='-' ": - "~~~5".~r 'g,l;-,~-~TYBE,OFWOfh("-'L _' "":";;c.:;.;'~_ I-._,,~; .- FEE SCHEDULE Q~, I Ea. ,. I Totul I 'I $79.00 I D NewConstruction CrossStrccl/dirccrions lojobsilc: I I i Cq- [1d.O VO I I Description IMiQ~uildiees~ ~ .', ;.' I Firsl Appliance Fee l l~iEClIANICAL PERMiT F'EES_-~_~,~-_;:' ~ '- t:. I Subtotal I State sorchargc (12% orpennit total) I Technology fee (5% of pennit total) !TOTAL PERMIT FH ~N ~ o Additionlaltcflllionfreplacement ,- CA TEGOR'(OF 'cONSTRuCTION " "-,,~.1.- ~ I !010,'f=i1YdWdl;", DM",H=;,y Dcomm",;,' DA"",ml'B";ldi" I ;~~~:~~;~:;,~:;:;,~,), :~"jt:fB\SITE INFORMA TION';'A'Ni)I:oCA TIO~\> I Job Addrtss: 929 DARLENE AVE I City/Sfatef'.lIP; SPRINGFIELD, OR 97477 I SuiteJbltlg.lnpl.no.: I Project Name: COOPER $79.00 $9.48 $3,95 S92AJ 8/4/0<=1 Tn.plp",,"'", )')(")?{L'1IL\ r)).\nrY7 -"''''-oL ,,-.._;~;~~'6ESCRiFtfiON'OF~WORK4:~~::~1~~t''-'~1>~::~~~:t~ INSTALL AC AND GAS FURNACE ....../s"..~"'-j,.<~'-;.: "--ilsITE-cbNTACTZ~:- Name: GARRY COOPER ;-,-...... ,1 I I I c.,1 Phone: 541-746-8111B FUlL: Email: '''"~''I;'''''~ ''-'~'cONfRACTORf,: ('fVIIV.... CCB';o,,",,46O - ,- --"".-"IJ~LL ~lT'nE IFTUJ:\M('II'!I( Business Name: C~~~",:~~~AT!~~I ~n ~T'H\ I; IDCQfI~.rT-I~ ~lnT I MUIIIUIIlL.I...D J.. ... I 1._._. Coo"": __.... t1~~~ '1~ '" ^"I\"J"II)"'J:J"\ ,('II'! '.~"I""'lIv,E,,,vL..U VII rv t.ll\t.._.____ Address: ]951 DON.~.T... :-" .." 'l..' !'T~183 CityfStllle/ZIP: SPR"M'6Fllib',1)RU994~7~<h I . . "'",X: , .'-. .. Phone: 54].726.0100 Fax: 54].7264799 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952,001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Emllil, I Metro lie. no.: Cily lie. no.: NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. . ,,,,,K., 'Y'U \9 ~ ~~ cf\ 9:/~ ~ \V ~ Upon review and. approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. The local building department may determine that an Authorization To Begin Work is null and void If It does not meet applicable land use laws and local ordinances This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGr mLU Building/Combination Permit PERMIT NO: COM2009-01120 ISSUED: 08/04/2009 APPLIED: 08/03/2009 EXPIRES: 02/04/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 929 DARLENE AVE ASSESSOR'S PARCEL NO.: 1703272101600 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install air conditioner and gas furnace in residence. Residential Owner: Address: COOPER GARRY R 929 DARLENE AVE SPRINGFIELD OR 97477 Phone Number: 541-746-8188 I. CONTRACTOR INFORMATION. Contractor Type Mechanical Contractor COMFORT FLOW HEATING CO. License 460 Expiration Date 06/27/2011 Phone 541-726-0100 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: , Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: n/a NOTICE: I DEVELOPMENT INFORMATION I . TH~S PERMIT SHALL EXPIRE IF THE 0 K . ATTENTION: OregorREQUIRE01Pl\'R~G ~ ~~ follow rules adopted hV th~ Oregon Utility F.rontyard setb~"/CRIZED UNDER THIS PERMIT v It D.st: ThTotal I s are set forth ~ Notification Center. I't'" '.u e S,de I Setb~\S:MMENCED OR IS ABANDON S Trees Rqd: in OAR 952-001-0010 t\ti'99~~~PY,\1~'352-001- Side 2 Selbackv j 80 DAY PE ED FfP!ilvcd Drive Rqd: 0090. You may obtain<G~'PP"'!,c!:i1 the rules by Rearyard S~~acK: RIOD. % of Lot Coverage: (N t th t I phone calling the center.< 0 e: e e e , ' Solar Setbacks: number for the Oreg?~ ~:~i~L ~,?tlfICa!lOn v~IILt;;j l~ I~V"''''' .......- -..... .). I PUBLIC IMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e I of 2 ,_~~'!im;'~gl!, I Status Issued CITY OF SPRINGFIELD ,; Building/Crmbination Permit PERMIT NO: C:OM2009-01120 ISSUED: 08/04/2009 APPLIED: 08/03/2009 EXPIRES: 02/04/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~s Paicl I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 8/4109 8/4/09 8/4/09 1200900000000000870 1200900000000000870 12~0900000000000870 Total Amount Paid $92.43 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections tequested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I. Rer"llIir~,cll."'\7ec~ion~. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. I; By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I fnrther certify that any and all work performed shah be done in accordance with , the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and ' that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wijlbe used on this project. " I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located 'at the front of the property, and the approved set of plans will remain on the site at all times during construction. r Owner or Contractors Signature Date Pal!e 2 of 2 225 fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01120 COM2009-0] 120 COM2009-0 1 ]20 Payments: Type of Payment ONLINE CHGS cReceint 1 RECEIPT #: Description 1st App]iance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 1200900000000000870 Received By KR Page] of ] Check Number Batch Number City of Sp~ingfield Official Receipt Developm~nt Services Department , ) Public Works Department I' Date: 08/04/2009 8:12:36AM Item Total: Authorization Number, Amount Due 79,00 3,95 9.48 $92.43 How Received " Amount Paid $92.43 ONLINE COMFORT Online FLOW II HEAT, , Payment Total: $92;43 81412009